Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL

Aurora, CO · CCN 060100 · Rates published

32,863 distinct procedures filed
36 distinct payers
1,020,644 rate rows
2026-03-01 last MRF observed
Data quality

987,321 of 1,020,644 rate rows are consumer-grade (96.7%)

33,323 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 19,141
per-diem day rate — not a per-procedure price 11,016
template filing: same amount across many unrelated codes — excluded 2,918
placeholder amount (≤ $0.02) — excluded from medians 248
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/84-1321373_HCA-HEALTHONE-AURORA_standardcharges.json?si=pt-json-access-policy&spr=https&sv=2024-11-04&sr=c&sig=o5IofreS%2F7ETlsnhPakPWCwHVVUZRobywQ5wUKGjVuQ%3D
Found on page https://www.healthonecares.com/patient-resources/patient-financial-resources/pricing-transparency-cms-required-file-of-standard-charges
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 9221f1e2106a5574… · 559,268,208 bytes · first seen 2026-05-08

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 1 $4,850,948.67 $4,850,948.67 $4,850,948.67 nat. median
$3,004,655
1.6× median
845
OTHER 		Inj, Atidarsagene Autotem 14 $4,459,950.00 $4,730,250.00 $4,505,000.00 nat. median
$9,966
outlier · 452.1×
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 1 $3,847,800.00 $3,847,800.00 $3,847,800.00 nat. median
$2,448,600
1.6× median
J3399
HCPCS 		Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 3 $3,670,252.89 $4,271,819.03 $3,824,789.85 nat. median
$2,468,984
1.5× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dos 14 $3,648,414.33 $3,869,530.35 $3,685,267.00 nat. median
$3,746,358
1.0× median
908
OTHER 		Topi Adm Prad Zami Per Tr 14 $3,302,461.80 $3,502,611.00 $3,335,820.00 nat. median
$22,747
outlier · 146.6×
714
OTHER 		Inj Delandistrogene Mox R 14 $3,294,581.40 $3,494,253.00 $3,327,860.00 nat. median
$13,041
outlier · 255.2×
748
OTHER 		Inj, Lovotibeglogene Auto 14 $3,219,982.92 $3,415,133.40 $3,252,508.00 nat. median
$17,963
outlier · 181.1×
906
OTHER 		Inj Elivaldogene Autoteme 14 $3,148,200.00 $3,339,000.00 $3,180,000.00 nat. median
$20,756
outlier · 153.2×
746
OTHER 		Inj, Betibeglogene Autote 14 $2,910,569.31 $3,086,967.45 $2,939,969.00 nat. median
$21,896
outlier · 134.3×
9141
OTHER 		Inj Onase Abepar-xioi Tre 14 $2,563,091.19 $2,718,430.05 $2,588,981.00 nat. median
$2,588,981
1.0× median
824
OTHER 		Inj, Exagamglogene Autote 14 $2,308,680.00 $2,448,600.00 $2,332,000.00 nat. median
$25,250
outlier · 92.4×
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 2 $1,271,523.00 $2,311,860.00 $2,311,860.00 nat. median
$824,563
outlier · 2.8×
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 5 $819,605.32 $1,762,948.71 $1,366,285.25 nat. median
$674,867
outlier · 2.0×
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 5 $836,958.70 $1,699,593.90 $1,317,185.27 nat. median
$753,246
1.7× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 5 $765,607.90 $1,686,603.72 $1,307,117.89 nat. median
$673,137
1.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 5 $782,774.83 $1,674,245.19 $1,297,540.02 nat. median
$625,184
outlier · 2.1×
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 5 $741,901.04 $1,596,576.72 $1,237,346.96 nat. median
$634,303
2.0× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 5 $725,845.60 $1,468,350.60 $1,137,971.72 nat. median
$619,808
1.8× median
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 2 $459,112.50 $834,750.00 $834,750.00 nat. median
$324,450
outlier · 2.6×
2067
OTHER 		Afamitresgene Autoleucel 14 $762,913.80 $809,151.00 $770,620.00 nat. median
$786,032
1.0× median
J3402
HCPCS 		Injection, Remestemcel-l-rknd, Per Therapeutic Dose 2 $332,753.88 $605,007.06 $605,007.06 nat. median
$209,753
outlier · 2.9×
9498
OTHER 		Ciltacabtagene Car-pos T 14 $581,773.10 $617,032.08 $587,649.60 nat. median
$587,650
1.0× median
9194
OTHER 		Tisagenlecleucel Car-pos 14 $560,865.99 $594,857.87 $566,531.30 nat. median
$566,531
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 14 $556,579.19 $590,311.26 $562,201.20 nat. median
$562,201
1.0× median
9422
OTHER 		Idecabtagene Vicleucel Ca 14 $552,500.98 $585,985.89 $558,081.80 nat. median
$558,082
1.0× median
9035
OTHER 		Axicabtagene Ciloleucel C 14 $526,870.28 $558,801.81 $532,192.20 nat. median
$532,192
1.0× median
9391
OTHER 		Brexucabtagene Car Pos T 14 $484,555.70 $513,922.71 $489,450.20 nat. median
$489,450
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 $1,975.00 $616,909.48 $362,271.60 nat. median
$370,174
1.0× median
C1822
HCPCS 		Pulse Gen Imp 16 $78,789.96 $466,519.50 $331,747.20 nat. median
$31,540
outlier · 10.5×
C1825
HCPCS 		Generator Pulse Ipg 16 $71,374.79 $469,570.50 $328,699.70 nat. median
$52,021
outlier · 6.3×
5834
APR_DRG 		Neonate With Ecmo 2 $259,553.85 $390,081.55 $324,817.70 nat. median
$309,665
1.0× median
772862
CDM 		Valve Aor 15fr W/23mm 16 $73,294.86 $433,982.70 $308,609.92 nat. median
$144,661
outlier · 2.1×
772861
CDM 		Valve Aor 15f W25mm Edg 16 $73,294.86 $433,982.70 $308,609.92 nat. median
$144,661
outlier · 2.1×
772856
CDM 		Valve Aor 15f W/27mm 16 $73,294.86 $433,982.70 $308,609.92 nat. median
$144,661
outlier · 2.1×
575012
CDM 		Valve Tavr Sz 26mm 16 $67,975.92 $402,489.00 $286,214.40 nat. median
$75,000
outlier · 3.8×
575010
CDM 		Valve Tavr Size 34mm 16 $67,975.92 $402,489.00 $286,214.40 nat. median
$75,000
outlier · 3.8×
575011
CDM 		Valve Tavr Sz 29mm 16 $67,975.92 $402,489.00 $286,214.40 nat. median
$75,000
outlier · 3.8×
575013
CDM 		Valve Tavr Sz 23mm 16 $67,975.92 $402,489.00 $286,214.40 nat. median
$75,000
outlier · 3.8×
831
OTHER 		Obecbtge Autol Up To 400 14 $275,467.50 $292,162.50 $278,250.00 nat. median
$12,362
outlier · 22.5×
5833
APR_DRG 		Neonate With Ecmo 2 $205,571.85 $342,642.39 $274,107.12 nat. median
$244,017
1.1× median
551582
CDM 		Valve Heart Trnscth 20mm 16 $64,704.12 $383,116.50 $272,438.40 nat. median
$65,000
outlier · 4.2×
777384
CDM 		Valve Aor With Intro 23mm 16 $64,704.12 $383,116.50 $272,438.40 nat. median
$212,842
1.3× median
777386
CDM 		Valve Aor With Intro 25mm 16 $64,704.12 $383,116.50 $272,438.40 nat. median
$212,842
1.3× median
873686
CDM 		Kit Aor Vlv 14fr 29mm 16 $64,704.12 $383,116.50 $272,438.40 nat. median
$166,491
1.6× median
871794
CDM 		Valve 29mm Sapien Xt 16 $64,704.12 $383,116.50 $272,438.40 nat. median
$272,438
1.0× median
775845
CDM 		Valve Heart Trnscth 26mm 16 $64,704.12 $383,116.50 $272,438.40 nat. median
$64,730
outlier · 4.2×
871795
CDM 		Valve 29mm Sapien Xt Flx 16 $64,704.12 $383,116.50 $272,438.40 nat. median
$15,000
outlier · 18.2×
775844
CDM 		Valve Heart Trnscth 23mm 16 $64,704.12 $383,116.50 $272,438.40 nat. median
$64,730
outlier · 4.2×
777390
CDM 		Valve Aor With Intro 27mm 16 $64,704.12 $383,116.50 $272,438.40 nat. median
$212,842
1.3× median

Other procedures at this hospital

Browse this hospital's 32,863 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 1 1 — — $4,850,948.67 $4,850,948.67 $4,850,948.67 2026-03-01
845 OTHER Inj, Atidarsagene Autotem 20 14 — — $4,459,950.00 $4,730,250.00 $4,505,000.00 2026-03-01
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 1 1 — — $3,847,800.00 $3,847,800.00 $3,847,800.00 2026-03-01
J3399 HCPCS Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 4 3 — — $3,670,252.89 $4,271,819.03 $3,824,789.85 2026-03-01
9138 OTHER Inj, Hemgenix, Per Tx Dos 20 14 — — $3,648,414.33 $3,869,530.35 $3,685,267.00 2026-03-01
908 OTHER Topi Adm Prad Zami Per Tr 20 14 — — $3,302,461.80 $3,502,611.00 $3,335,820.00 2026-03-01
714 OTHER Inj Delandistrogene Mox R 20 14 — — $3,294,581.40 $3,494,253.00 $3,327,860.00 2026-03-01
748 OTHER Inj, Lovotibeglogene Auto 20 14 — — $3,219,982.92 $3,415,133.40 $3,252,508.00 2026-03-01
906 OTHER Inj Elivaldogene Autoteme 20 14 — — $3,148,200.00 $3,339,000.00 $3,180,000.00 2026-03-01
746 OTHER Inj, Betibeglogene Autote 20 14 — — $2,910,569.31 $3,086,967.45 $2,939,969.00 2026-03-01
9141 OTHER Inj Onase Abepar-xioi Tre 20 14 — — $2,563,091.19 $2,718,430.05 $2,588,981.00 2026-03-01
824 OTHER Inj, Exagamglogene Autote 20 14 — — $2,308,680.00 $2,448,600.00 $2,332,000.00 2026-03-01
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 3 2 — — $1,271,523.00 $2,311,860.00 $2,311,860.00 2026-03-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 9 5 — — $819,605.32 $1,762,948.71 $1,366,285.25 2026-03-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 9 5 — — $836,958.70 $1,699,593.90 $1,317,185.27 2026-03-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 9 5 — — $765,607.90 $1,686,603.72 $1,307,117.89 2026-03-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 9 5 — — $782,774.83 $1,674,245.19 $1,297,540.02 2026-03-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 9 5 — — $741,901.04 $1,596,576.72 $1,237,346.96 2026-03-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 9 5 — — $725,845.60 $1,468,350.60 $1,137,971.72 2026-03-01
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 3 2 — — $459,112.50 $834,750.00 $834,750.00 2026-03-01
2067 OTHER Afamitresgene Autoleucel 20 14 — — $762,913.80 $809,151.00 $770,620.00 2026-03-01
J3402 HCPCS Injection, Remestemcel-l-rknd, Per Therapeutic Dose 3 2 — — $332,753.88 $605,007.06 $605,007.06 2026-03-01
9498 OTHER Ciltacabtagene Car-pos T 20 14 — — $581,773.10 $617,032.08 $587,649.60 2026-03-01
9194 OTHER Tisagenlecleucel Car-pos 20 14 — — $560,865.99 $594,857.87 $566,531.30 2026-03-01
9413 OTHER Lisocabtagene Car Pos T 20 14 — — $556,579.19 $590,311.26 $562,201.20 2026-03-01
9422 OTHER Idecabtagene Vicleucel Ca 20 14 — — $552,500.98 $585,985.89 $558,081.80 2026-03-01
9035 OTHER Axicabtagene Ciloleucel C 20 14 — — $526,870.28 $558,801.81 $532,192.20 2026-03-01
9391 OTHER Brexucabtagene Car Pos T 20 14 — — $484,555.70 $513,922.71 $489,450.20 2026-03-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 32 17 — — $1,975.00 $616,909.48 $362,271.60 2026-03-01
C1822 HCPCS Pulse Gen Imp 23 16 $518,355.00 $518,355.00 $78,789.96 $466,519.50 $331,747.20 2026-03-01
C1825 HCPCS Generator Pulse Ipg 46 16 $495,658.00 $495,658.00 $71,374.79 $469,570.50 $328,699.70 2026-03-01
5834 APR_DRG Neonate With Ecmo 2 2 — — $259,553.85 $390,081.55 $324,817.70 2026-03-01
772861 CDM Valve Aor 15f W25mm Edg 23 16 $482,203.00 $482,203.00 $73,294.86 $433,982.70 $308,609.92 2026-03-01
772862 CDM Valve Aor 15fr W/23mm 23 16 $482,203.00 $482,203.00 $73,294.86 $433,982.70 $308,609.92 2026-03-01
772856 CDM Valve Aor 15f W/27mm 23 16 $482,203.00 $482,203.00 $73,294.86 $433,982.70 $308,609.92 2026-03-01
575013 CDM Valve Tavr Sz 23mm 23 16 $447,210.00 $447,210.00 $67,975.92 $402,489.00 $286,214.40 2026-03-01
575010 CDM Valve Tavr Size 34mm 23 16 $447,210.00 $447,210.00 $67,975.92 $402,489.00 $286,214.40 2026-03-01
575012 CDM Valve Tavr Sz 26mm 23 16 $447,210.00 $447,210.00 $67,975.92 $402,489.00 $286,214.40 2026-03-01
575011 CDM Valve Tavr Sz 29mm 23 16 $447,210.00 $447,210.00 $67,975.92 $402,489.00 $286,214.40 2026-03-01
831 OTHER Obecbtge Autol Up To 400 20 14 — — $275,467.50 $292,162.50 $278,250.00 2026-03-01
5833 APR_DRG Neonate With Ecmo 2 2 — — $205,571.85 $342,642.39 $274,107.12 2026-03-01
871794 CDM Valve 29mm Sapien Xt 23 16 $425,685.00 $425,685.00 $64,704.12 $383,116.50 $272,438.40 2026-03-01
777386 CDM Valve Aor With Intro 25mm 23 16 $425,685.00 $425,685.00 $64,704.12 $383,116.50 $272,438.40 2026-03-01
871792 CDM Valve 23mm Sapien Xt 23 16 $425,685.00 $425,685.00 $64,704.12 $383,116.50 $272,438.40 2026-03-01
551582 CDM Valve Heart Trnscth 20mm 23 16 $425,685.00 $425,685.00 $64,704.12 $383,116.50 $272,438.40 2026-03-01
871793 CDM Vlv 26mm Sapn Xt Trnscth 23 16 $425,685.00 $425,685.00 $64,704.12 $383,116.50 $272,438.40 2026-03-01
871797 CDM Valve Xt Sapien 26mm Ta 23 16 $425,685.00 $425,685.00 $64,704.12 $383,116.50 $272,438.40 2026-03-01
777390 CDM Valve Aor With Intro 27mm 23 16 $425,685.00 $425,685.00 $64,704.12 $383,116.50 $272,438.40 2026-03-01
775845 CDM Valve Heart Trnscth 26mm 23 16 $425,685.00 $425,685.00 $64,704.12 $383,116.50 $272,438.40 2026-03-01
775844 CDM Valve Heart Trnscth 23mm 23 16 $425,685.00 $425,685.00 $64,704.12 $383,116.50 $272,438.40 2026-03-01
871796 CDM Valve Xt Sapien 23mm Ta 23 16 $425,685.00 $425,685.00 $64,704.12 $383,116.50 $272,438.40 2026-03-01
871795 CDM Valve 29mm Sapien Xt Flx 23 16 $425,685.00 $425,685.00 $64,704.12 $383,116.50 $272,438.40 2026-03-01
777384 CDM Valve Aor With Intro 23mm 23 16 $425,685.00 $425,685.00 $64,704.12 $383,116.50 $272,438.40 2026-03-01
873686 CDM Kit Aor Vlv 14fr 29mm 23 16 $425,685.00 $425,685.00 $64,704.12 $383,116.50 $272,438.40 2026-03-01
897 OTHER Revakinagene, Per Implant 20 14 — — $262,350.00 $278,250.00 $265,000.00 2026-03-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $212,904.99 $300,544.34 $256,724.67 2026-03-01
777082 CDM Valve Aor Tavr 26mm 23 16 $392,940.00 $392,940.00 $59,726.88 $353,646.00 $251,481.60 2026-03-01
876575 CDM Valve Tavr 29mm 23 16 $392,940.00 $392,940.00 $59,726.88 $353,646.00 $251,481.60 2026-03-01
777080 CDM Valve Aor Tavr 29mm 23 16 $392,940.00 $392,940.00 $59,726.88 $353,646.00 $251,481.60 2026-03-01
876591 CDM Vlv Aor 26-29mm 0-43mm 23 16 $392,940.00 $392,940.00 $59,726.88 $353,646.00 $251,481.60 2026-03-01
893421 CDM Valve Tavr 34mm 23 16 $392,940.00 $392,940.00 $59,726.88 $353,646.00 $251,481.60 2026-03-01
897593 CDM Valve Tavr 26mm 23 16 $392,940.00 $392,940.00 $59,726.88 $353,646.00 $251,481.60 2026-03-01
876573 CDM Valve Tavr 23mm 23 16 $392,940.00 $392,940.00 $59,726.88 $353,646.00 $251,481.60 2026-03-01
897592 CDM Valve Tavr 23mm 23 16 $392,940.00 $392,940.00 $59,726.88 $353,646.00 $251,481.60 2026-03-01
876574 CDM Valve Transcth Aor 26mm 23 16 $392,940.00 $392,940.00 $59,726.88 $353,646.00 $251,481.60 2026-03-01
777083 CDM Valve Aor Tavr 23mm 23 16 $392,940.00 $392,940.00 $59,726.88 $353,646.00 $251,481.60 2026-03-01
777081 CDM Valve Aor Tavr 34mm 23 16 $392,940.00 $392,940.00 $59,726.88 $353,646.00 $251,481.60 2026-03-01
897594 CDM Valve Tavr 29mm 23 16 $392,940.00 $392,940.00 $59,726.88 $353,646.00 $251,481.60 2026-03-01
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 3 2 — — $138,148.31 $251,178.75 $251,178.75 2026-03-01
605873 CDM Stent Evas 22fr 16cm 23 16 $379,842.00 $379,842.00 $57,735.98 $341,857.80 $243,098.88 2026-03-01
598832 CDM Stent Evas 22fr 16cm 23 16 $379,842.00 $379,842.00 $57,735.98 $341,857.80 $243,098.88 2026-03-01
C1824 HCPCS Gen Pls Card Mod Sys 46 16 $363,506.50 $363,506.50 $51,870.15 $347,185.80 $238,875.70 2026-03-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 40 19 — — $1,975.00 $400,349.44 $235,528.60 2026-03-01
24 APR_DRG Heart And/or Lung Transplant 2 2 — — $196,443.75 $267,232.31 $231,838.03 2026-03-01
1614 APR_DRG Implantable Heart Assist Systems 2 2 — — $203,562.46 $227,074.08 $215,318.27 2026-03-01
955646 CDM Rmv Icd W Rplc Dual Ld 29 15 $419,169.11 $419,169.11 $63,713.70 $377,252.20 $209,584.55 2026-03-01
955643 CDM Ins Icd Gen W Dual Lead 29 15 $419,169.11 $419,169.11 $63,713.70 $377,252.20 $209,584.55 2026-03-01
955644 CDM Ins Icd Gen W Mult Lead 29 15 $419,169.11 $419,169.11 $63,713.70 $377,252.20 $209,584.55 2026-03-01
955645 CDM Rmv Icd W Rplc Sgl Ld 29 15 $419,169.11 $419,169.11 $63,713.70 $377,252.20 $209,584.55 2026-03-01
955647 CDM Rmv Icd W Rplc Mult Ld 29 15 $419,169.11 $419,169.11 $63,713.70 $377,252.20 $209,584.55 2026-03-01
125245 CDM Revsc Low Extr Ivl Angio 29 15 $413,193.00 $413,193.00 $62,805.34 $371,873.70 $206,596.50 2026-03-01
886 OTHER Inj. Remestemcel-l-rknd/ 20 14 — — $199,652.31 $211,752.45 $201,669.00 2026-03-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $154,534.56 $241,870.40 $198,202.48 2026-03-01
5832 APR_DRG Neonate With Ecmo 2 2 — — $151,589.21 $235,856.24 $193,722.72 2026-03-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 — — $143,552.95 $226,153.03 $184,852.99 2026-03-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 29 19 — — $1,975.00 $328,654.12 $179,732.60 2026-03-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 33 19 — — $1,975.00 $811,216.66 $178,684.90 2026-03-01
647486 CDM System Dlv Cath 1 Clip 36 17 $379,842.00 $379,842.00 $57,735.98 $341,857.80 $176,056.77 2026-03-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $133,914.44 $214,354.80 $174,134.62 2026-03-01
584753 CDM Transcth Aortic Vlv 25mm 23 16 $268,326.00 $268,326.00 $40,785.55 $241,493.40 $171,728.64 2026-03-01
566272 CDM Occluder Cardiac Lt 31mm 23 16 $268,326.00 $268,326.00 $40,785.55 $241,493.40 $171,728.64 2026-03-01
566277 CDM Occluder Cardiac Lt 18mm 23 16 $268,326.00 $268,326.00 $40,785.55 $241,493.40 $171,728.64 2026-03-01
566271 CDM Occluder Cardiac Lt 34mm 23 16 $268,326.00 $268,326.00 $40,785.55 $241,493.40 $171,728.64 2026-03-01
566273 CDM Occluder Cardiac Lt 28mm 23 16 $268,326.00 $268,326.00 $40,785.55 $241,493.40 $171,728.64 2026-03-01
566275 CDM Occluder Cardiac Lt 22mm 23 16 $268,326.00 $268,326.00 $40,785.55 $241,493.40 $171,728.64 2026-03-01
566278 CDM Occluder Cardiac Lt 16mm 23 16 $268,326.00 $268,326.00 $40,785.55 $241,493.40 $171,728.64 2026-03-01
584751 CDM Transcth Aortic Vlv 27mm 23 16 $268,326.00 $268,326.00 $40,785.55 $241,493.40 $171,728.64 2026-03-01
584750 CDM Transcth Aortic Vlv 29mm 23 16 $268,326.00 $268,326.00 $40,785.55 $241,493.40 $171,728.64 2026-03-01
566276 CDM Occluder Cardiac Lt 20mm 23 16 $268,326.00 $268,326.00 $40,785.55 $241,493.40 $171,728.64 2026-03-01
566274 CDM Occluder Cardiac Lt 25mm 23 16 $268,326.00 $268,326.00 $40,785.55 $241,493.40 $171,728.64 2026-03-01
584752 CDM Transcth Aortic Vlv 23mm 23 16 $268,326.00 $268,326.00 $40,785.55 $241,493.40 $171,728.64 2026-03-01
C2616 HCPCS Brachytx Ns Yttrium 90 67 15 $268,252.00 $268,252.00 $8,688.00 $258,867.90 $171,681.28 2026-03-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $137,161.04 $205,887.53 $171,524.29 2026-03-01
560738 CDM Stent Thor 31x26mm 10cm 23 16 $262,364.00 $262,364.00 $39,879.33 $236,127.60 $167,912.96 2026-03-01
775999 CDM Stent 34mmx34mmx15cm 23 16 $262,364.00 $262,364.00 $39,879.33 $236,127.60 $167,912.96 2026-03-01
C1820 HCPCS Generator Nrstm 18 Ch 115 16 $257,892.00 $257,892.00 $34,554.46 $358,702.20 $167,629.80 2026-03-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $134,307.76 $197,085.00 $165,696.38 2026-03-01
595979 CDM Cage Ankle Cstm Sz M 23 16 $254,239.00 $254,239.00 $38,644.33 $228,815.10 $162,712.96 2026-03-01
587989 CDM Device Clsr 24mm 23 16 $253,419.00 $253,419.00 $38,519.69 $228,077.10 $162,188.16 2026-03-01
587992 CDM Device Clsr 31mm 23 16 $253,419.00 $253,419.00 $38,519.69 $228,077.10 $162,188.16 2026-03-01
587993 CDM Device Clsr 35mm 23 16 $253,419.00 $253,419.00 $38,519.69 $228,077.10 $162,188.16 2026-03-01
587991 CDM Device Clsr 20mm 23 16 $253,419.00 $253,419.00 $38,519.69 $228,077.10 $162,188.16 2026-03-01
587988 CDM Device Clsr 27mm 23 16 $253,419.00 $253,419.00 $38,519.69 $228,077.10 $162,188.16 2026-03-01
587990 CDM Device Clsr 40mm 23 16 $253,419.00 $253,419.00 $38,519.69 $228,077.10 $162,188.16 2026-03-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $134,086.76 $189,805.36 $161,946.06 2026-03-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $133,231.71 $184,979.66 $159,105.68 2026-03-01
1907 OTHER New Technology - Level 52 20 14 — — $155,885.20 $165,332.79 $157,459.80 2026-03-01
1908 OTHER New Technology - Level 52 20 14 — — $155,885.20 $165,332.79 $157,459.80 2026-03-01
74 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $128,785.38 $185,485.48 $157,135.43 2026-03-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 2 — — $127,907.95 $186,317.79 $157,112.87 2026-03-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $138,854.06 $175,247.53 $157,050.79 2026-03-01
1613 APR_DRG Implantable Heart Assist Systems 2 2 — — $155,337.18 $155,950.02 $155,643.60 2026-03-01
778313 CDM Graft Evas 52mm 37mm 20f 23 16 $242,248.00 $242,248.00 $36,821.70 $218,023.20 $155,038.72 2026-03-01
885940 CDM Tavr 29 15 $309,074.66 $309,074.66 $46,979.35 $278,167.19 $154,537.33 2026-03-01
888494 CDM Tmvr Initial 29 15 $309,074.66 $309,074.66 $46,979.35 $278,167.19 $154,537.33 2026-03-01
C1767 HCPCS Device Ipg Sleep 51mm 207 16 $271,681.00 $271,681.00 $18,981.00 $497,449.80 $154,032.30 2026-03-01
883402 CDM Ins/repl Subq Imp Icd Sy 29 15 $302,605.20 $302,605.20 $45,995.99 $272,344.68 $151,302.60 2026-03-01
771873 CDM Stent 20fr 31x31mm 10cm 23 16 $235,136.00 $235,136.00 $35,740.67 $211,622.40 $150,487.04 2026-03-01
783358 CDM Stnt Thorac 26x26mm 10cm 23 16 $235,136.00 $235,136.00 $35,740.67 $211,622.40 $150,487.04 2026-03-01
647641 CDM Stent Graft 15cm 40x34mm 23 16 $235,136.00 $235,136.00 $35,740.67 $211,622.40 $150,487.04 2026-03-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $124,886.96 $173,879.40 $149,383.18 2026-03-01
556304 CDM Graft Evas 45x45mm 15cm 23 16 $230,525.00 $230,525.00 $35,039.80 $207,472.50 $147,536.00 2026-03-01
783155 CDM Stent Graft 15cn 28x28mm 23 16 $230,525.00 $230,525.00 $35,039.80 $207,472.50 $147,536.00 2026-03-01
780835 CDM Stent Eprsth 40x40x15cm 23 16 $230,525.00 $230,525.00 $35,039.80 $207,472.50 $147,536.00 2026-03-01
783359 CDM Stnt Thorac 28x28mm 10cm 23 16 $230,525.00 $230,525.00 $35,039.80 $207,472.50 $147,536.00 2026-03-01
772933 CDM Stent Graft 10cm 21x21mm 23 16 $230,525.00 $230,525.00 $35,039.80 $207,472.50 $147,536.00 2026-03-01
558473 CDM Tag Conform Thoracic Sg 23 16 $230,525.00 $230,525.00 $35,039.80 $207,472.50 $147,536.00 2026-03-01
781685 CDM Stent Eprsth 37x37x15cm 23 16 $230,525.00 $230,525.00 $35,039.80 $207,472.50 $147,536.00 2026-03-01
776775 CDM Stent Graft 20cm 45x45mm 23 16 $230,525.00 $230,525.00 $35,039.80 $207,472.50 $147,536.00 2026-03-01
774713 CDM Graft Evas 34x34x10cm 23 16 $230,525.00 $230,525.00 $35,039.80 $207,472.50 $147,536.00 2026-03-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $125,578.90 $164,450.82 $145,014.86 2026-03-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $88,406.10 $197,085.00 $142,745.55 2026-03-01
1906 OTHER New Technology - Level 51 20 14 — — $140,552.28 $149,070.60 $141,972.00 2026-03-01
1905 OTHER New Technology - Level 51 20 14 — — $140,552.28 $149,070.60 $141,972.00 2026-03-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $127,562.64 $156,275.14 $141,918.89 2026-03-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 3 2 — — $77,046.96 $140,085.39 $140,085.39 2026-03-01
5831 APR_DRG Neonate With Ecmo 2 2 — — $131,000.65 $148,342.61 $139,671.63 2026-03-01
566219 CDM Device Embl 4.25mm 14mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
566214 CDM Device Embl 4.5mm 20mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
566052 CDM Device Embl 10mm 2.5mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
566232 CDM Device Embl 3.5mm 14mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
566216 CDM Device Embl 4.50x16mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
566181 CDM Device Embl 4.75mm 14mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
566188 CDM Device Embl 4mm 18mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
566186 CDM Device Embl 4.25mm 20mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
566235 CDM Device Embl 3.25mm 16mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
566189 CDM Device Embl 4mm 16mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
566176 CDM Device Embl 5.0x20mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
566184 CDM Device Embl 4.5mm 12mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
566212 CDM Device Embl 4.75mm 20mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
566199 CDM Device Embl 5.0x.0mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
566224 CDM Device Embl 4.00x2mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
566178 CDM Device Embl 5.0x16mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
564638 CDM Device Emb 4.25mm 16mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
566237 CDM Device Embl 5mm 35mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
566215 CDM Device Embl 4.5mm 18mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
566060 CDM Device Embl 2.5mm 16mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
566180 CDM Device Embl 4.75mm 16mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
566067 CDM Device Embl 2.75mm 16mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
566187 CDM Device Embl 4.25mm 18mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
566190 CDM Device Embl 4mm 14mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
566191 CDM Device Embl 3.75mm 14mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
566220 CDM Device Embl 4.25mm 12mm 23 16 $214,438.00 $214,438.00 $32,594.58 $192,994.20 $137,240.32 2026-03-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 — — $111,615.09 $161,568.68 $136,591.89 2026-03-01
953004 CDM Revasc Tib Stnt/ath Init 29 15 $267,953.30 $267,953.30 $40,728.90 $241,157.97 $133,976.65 2026-03-01
953000 CDM Revasc Fem/pop Stnt/ath 29 15 $267,953.30 $267,953.30 $40,728.90 $241,157.97 $133,976.65 2026-03-01
953034 CDM Revasc Fem/pop Stnt/ath 29 15 $267,953.30 $267,953.30 $40,728.90 $241,157.97 $133,976.65 2026-03-01
953038 CDM Revasc Tib Stnt/ath Init 29 15 $267,953.30 $267,953.30 $40,728.90 $241,157.97 $133,976.65 2026-03-01
23 APR_DRG Heart And/or Lung Transplant 2 2 — — $121,477.89 $144,998.05 $133,237.97 2026-03-01
C1882 HCPCS Crt-d Crd 5.37x8.08x0.99 483 16 $205,241.00 $205,241.00 $20,647.83 $250,374.60 $131,354.24 2026-03-01
593024 CDM Device Embl 2.5x14mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593020 CDM Stent Vasc 275mm 14mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593025 CDM Stent Vasc 400mm 14mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593026 CDM Stent Vasc 325mm 14mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593119 CDM Device Embl 5x40mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593124 CDM Stent Vasc 250mm 12mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593021 CDM Stent Vasc 500mm 16mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593115 CDM Stent Vasc 350mm 20mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593116 CDM Stent Vasc 275mm 12mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593018 CDM Stent Vasc 500mm 14mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593019 CDM Stent Vasc 450mm 14mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593114 CDM Stent Vasc 400mm 25mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593017 CDM Stent Vasc 250mm 16mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593014 CDM Stent Vasc 350mm 16mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593022 CDM Device Embl 400mm 16mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593130 CDM Stent Vasc 550mm 40mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593132 CDM Stent Vasc 400mm 12mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593015 CDM Stent Vasc 325mm 16mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593120 CDM Stent Vasc 450mm 40mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593013 CDM Stent Vasc 350mm 14mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
592935 CDM Stent Vasc 20mm 275mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593110 CDM Stent Vasc 350mm 25mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593016 CDM Stent Vasc 300mm 14mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593133 CDM Stent Vasc 250mm 10mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
592933 CDM Stent Vasc 16mm 550mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593118 CDM Stent Vasc 600mm 30mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593023 CDM Stent Vasc 300mm 16mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
592934 CDM Stent Vasc 20mm 300mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
592870 CDM Stent Vasc 16mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593126 CDM Stent Vasc 500mm 20mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593123 CDM Stent Vasc 300mm 12mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593134 CDM Stent Vasc 550mm 50mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593012 CDM Stent Vasc 450mm 16mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
592936 CDM Stent Vasc 20mm 250mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593122 CDM Stent Vasc 325mm 12mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
592871 CDM Stent Vasc 16mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593112 CDM Stent Vasc 450mm 20mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593136 CDM Stent Vasc 500mm 30mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
589161 CDM Stent Vasc Vo3 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593121 CDM Stent Vasc 350mm 12mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593128 CDM Stent Vasc 325mm 20mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593137 CDM Stent Vasc 500mm 25mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
557943 CDM Graft Evas Alpha 142x34m 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593129 CDM Stent Vasc 600mm 40mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593125 CDM Stent Vasc 400mm 30mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593111 CDM Stent Vasc 550mm 25mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593117 CDM Stent Vasc 600mm 50mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593131 CDM Stent Vasc 450mm 30mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593138 CDM Stent Vasc 450mm 25mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593113 CDM Stent Vasc 450mm 12mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
593127 CDM Stent Vasc 400mm 20mm 23 16 $203,019.00 $203,019.00 $30,858.89 $182,717.10 $129,932.16 2026-03-01
959471 CDM Perc Clsr Lt Atrl W/imp 29 15 $253,429.71 $253,429.71 $38,521.32 $228,086.74 $126,714.85 2026-03-01
1903 OTHER New Technology - Level 50 20 14 — — $125,219.36 $132,808.41 $126,484.20 2026-03-01
1904 OTHER New Technology - Level 50 20 14 — — $125,219.36 $132,808.41 $126,484.20 2026-03-01
849531 CDM Graft Hemi Cndyl Mdl Rt 23 16 $197,379.00 $197,379.00 $30,001.61 $177,641.10 $126,322.56 2026-03-01
605845 CDM Cage Spnl Exp 18mm 23 16 $196,975.00 $196,975.00 $29,940.20 $177,277.50 $126,064.00 2026-03-01
1612 APR_DRG Implantable Heart Assist Systems 2 2 — — $125,214.52 $126,060.92 $125,637.72 2026-03-01
999395 CDM Nrstm Impl 60mm Fsn Spn 23 16 $192,759.00 $192,759.00 $29,299.37 $173,483.10 $123,365.76 2026-03-01
997676 CDM Graft Hemi Cndyl Mdl Lt 23 16 $187,269.00 $187,269.00 $28,464.89 $168,542.10 $119,852.16 2026-03-01
1611 APR_DRG Implantable Heart Assist Systems 2 2 — — $118,952.83 $119,774.96 $119,363.90 2026-03-01
64 APR_DRG Pancreas Transplant 2 2 — — $110,900.79 $126,246.35 $118,573.57 2026-03-01
771691 CDM Valve Aortic 27mm 23 16 $183,372.00 $183,372.00 $27,872.54 $165,034.80 $117,358.08 2026-03-01
576638 CDM Valve Aortic 21mm 23 16 $183,372.00 $183,372.00 $27,872.54 $165,034.80 $117,358.08 2026-03-01
560987 CDM Valve Aortic 29mm 23 16 $183,372.00 $183,372.00 $27,872.54 $165,034.80 $117,358.08 2026-03-01
569793 CDM Valve Aortic 23mm 23 16 $183,372.00 $183,372.00 $27,872.54 $165,034.80 $117,358.08 2026-03-01
772751 CDM Valve Aortic 25mm 23 16 $183,372.00 $183,372.00 $27,872.54 $165,034.80 $117,358.08 2026-03-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 31 19 — — $1,975.00 $239,323.00 $117,032.90 2026-03-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $99,531.10 $129,939.46 $114,735.28 2026-03-01
565377 CDM Graft Endo Aaa 32x14mm 23 16 $176,484.00 $176,484.00 $26,825.57 $158,835.60 $112,949.76 2026-03-01
566572 CDM Gft Evs 15f 20x14.5x12mm 23 16 $176,484.00 $176,484.00 $26,825.57 $158,835.60 $112,949.76 2026-03-01
796086 CDM Graft Endo Aaa 23x12mm 23 16 $176,484.00 $176,484.00 $26,825.57 $158,835.60 $112,949.76 2026-03-01
562607 CDM Graft Endo Aaa 36x14mm 23 16 $176,484.00 $176,484.00 $26,825.57 $158,835.60 $112,949.76 2026-03-01
975598 CDM Graft Bn Hemi Condrl Rt 23 16 $175,715.00 $175,715.00 $26,708.68 $158,143.50 $112,457.60 2026-03-01
997677 CDM Graft Bn Fem Hemi Cndyl 23 16 $175,715.00 $175,715.00 $26,708.68 $158,143.50 $112,457.60 2026-03-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 20 14 — — $111,218.58 $117,959.10 $112,342.00 2026-03-01
1902 OTHER New Technology - Level 49 20 14 — — $109,886.44 $116,546.22 $110,996.40 2026-03-01
1901 OTHER New Technology - Level 49 20 14 — — $109,886.44 $116,546.22 $110,996.40 2026-03-01
7 MS_DRG Lung Transplant 37 17 — — $1,975.00 $185,006.56 $109,498.00 2026-03-01
545929 CDM Cage Spn D 13mm 23 16 $169,618.00 $169,618.00 $25,781.94 $152,656.20 $108,555.52 2026-03-01
781540 CDM Cage Spnl 25mm D Centerp 23 16 $169,618.00 $169,618.00 $25,781.94 $152,656.20 $108,555.52 2026-03-01
780778 CDM Cage Spn Szc 25mm 23 16 $169,618.00 $169,618.00 $25,781.94 $152,656.20 $108,555.52 2026-03-01
794647 CDM Cage Spnl C 30-45x20mm 23 16 $169,618.00 $169,618.00 $25,781.94 $152,656.20 $108,555.52 2026-03-01
786510 CDM Cage Spn 20mm 23 16 $169,618.00 $169,618.00 $25,781.94 $152,656.20 $108,555.52 2026-03-01
551227 CDM Cage Spn Sz A 25mm 23 16 $169,618.00 $169,618.00 $25,781.94 $152,656.20 $108,555.52 2026-03-01
775018 CDM Cage Spnl Cntrpc 13mm 23 16 $169,618.00 $169,618.00 $25,781.94 $152,656.20 $108,555.52 2026-03-01
579495 CDM Implant Cran Xl 23 16 $169,582.00 $169,582.00 $25,776.46 $152,623.80 $108,532.48 2026-03-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $78,554.48 $137,036.42 $107,795.45 2026-03-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 2 2 — — $96,445.65 $118,758.01 $107,601.83 2026-03-01
587526 CDM End Cap Spn 13mm 47-72mm 23 16 $167,947.00 $167,947.00 $25,527.94 $151,152.30 $107,486.08 2026-03-01
606035 CDM Implant Spn Cerv Sys 4mm 23 16 $167,026.00 $167,026.00 $25,387.95 $150,323.40 $106,896.64 2026-03-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 6 4 — — $102,561.22 $192,824.37 $106,879.59 2026-03-01
592902 CDM Pump Pain Infn 20ml 23 16 $166,765.00 $166,765.00 $25,348.28 $150,088.50 $106,729.60 2026-03-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 5 3 — — $103,412.00 $110,488.59 $106,024.41 2026-03-01
597177 CDM Cage Spn 6d 17-26mm 12mm 23 16 $165,584.00 $165,584.00 $25,168.77 $149,025.60 $105,973.76 2026-03-01
866765 CDM Graft Evas 31x14.5m 15cm 23 16 $165,204.00 $165,204.00 $25,111.01 $148,683.60 $105,730.56 2026-03-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 2 — — $86,136.24 $123,515.26 $104,825.75 2026-03-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $89,292.74 $119,568.94 $104,430.84 2026-03-01
784085 CDM Graft Bn Trchlea Lt Ost 23 16 $160,390.00 $160,390.00 $24,379.28 $144,351.00 $102,649.60 2026-03-01
22 APR_DRG Heart And/or Lung Transplant 2 2 — — $90,149.77 $114,919.11 $102,534.44 2026-03-01
551226 CDM Cage Spn Szb 25mm 23 16 $159,642.00 $159,642.00 $24,265.58 $143,677.80 $102,170.88 2026-03-01
796249 CDM Graft Endo Aaa 28.5x12mm 23 16 $158,945.00 $158,945.00 $24,159.64 $143,050.50 $101,724.80 2026-03-01
562279 CDM Graft Evasc 20x12mmx12cm 23 16 $158,945.00 $158,945.00 $24,159.64 $143,050.50 $101,724.80 2026-03-01
14 MS_DRG Allogeneic Bone Marrow Transplant 33 17 — — $3,100.00 $210,000.00 $101,703.00 2026-03-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 2 2 — — $87,678.64 $114,461.64 $101,070.14 2026-03-01
595762 CDM Prost Bn Crnl 23 16 $157,642.00 $157,642.00 $23,961.58 $141,877.80 $100,890.88 2026-03-01
872005 CDM Graft Evas 23x14.5m 12cm 23 16 $157,299.00 $157,299.00 $23,909.45 $141,569.10 $100,671.36 2026-03-01
571668 CDM Cntr Piece Turq Spn 13mm 23 16 $156,348.00 $156,348.00 $23,764.90 $140,713.20 $100,062.72 2026-03-01
590833 CDM Impl Spn Mag 13x24-32mm 23 16 $156,348.00 $156,348.00 $23,764.90 $140,713.20 $100,062.72 2026-03-01
798749 CDM Graft Endo Aaa 26x12mm 23 16 $155,068.00 $155,068.00 $23,570.34 $139,561.20 $99,243.52 2026-03-01
867110 CDM Graft Evas 14.5mm 12cm 23 16 $153,468.00 $153,468.00 $23,327.14 $138,121.20 $98,219.52 2026-03-01
862822 CDM Graft Evas 35x14.5m 14cm 23 16 $153,468.00 $153,468.00 $23,327.14 $138,121.20 $98,219.52 2026-03-01
1585 OTHER New Technology - Level 48 20 14 — — $97,109.01 $102,994.41 $98,089.91 2026-03-01
1599 OTHER New Technology - Level 48 20 14 — — $97,109.01 $102,994.41 $98,089.91 2026-03-01
557005 CDM Cage Spnl 18mm 24d 23 16 $150,055.00 $150,055.00 $22,808.36 $135,049.50 $96,035.20 2026-03-01
774168 CDM Cage Spnl 40mm 16mm 23 16 $150,055.00 $150,055.00 $22,808.36 $135,049.50 $96,035.20 2026-03-01
774293 CDM Cage Spnl 16deg 14mm 23 16 $150,055.00 $150,055.00 $22,808.36 $135,049.50 $96,035.20 2026-03-01
773834 CDM Cage Spn 12d 13x27x40mm 23 16 $150,055.00 $150,055.00 $22,808.36 $135,049.50 $96,035.20 2026-03-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 40 19 — — $1,975.00 $306,157.00 $95,966.59 2026-03-01
209 MS_DRG Complex Aortic Arch Procedures 42 18 — — $1,975.00 $203,626.00 $95,857.90 2026-03-01
862138 CDM Graft Evas 23x14.5m14cm 23 16 $148,996.00 $148,996.00 $22,647.39 $134,096.40 $95,357.44 2026-03-01
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